218 Parsonage Dr10
t
Davie Countv, NC
Tax Parcel Report 3 611 A' Wednesday. October 5, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WAKi ING: 'l'Mb 1S 1VUT A SURVEY
Parcel Information
D700000130 Township: Farmington
5861491112 Municipality:
6605650 Census Tract: 37059-802
BETHLEHEM UNITED METHODIST Voting Precinct: SMITH GROVE
321 REDLAND ROAD Planning Jurisdiction: Davie Countv
ADVANCE
NC
27006-0000
1.00 AC REDLAND RD SANFORD SMITH
0.97
1/1900
000720421
0003
075
129740.00
36000.00
169040.00
Zoning Class: DAVIE COUNTY R-20
Zoning Overlay: DAVIE COUNTY QD
Voluntary Ag. District:
No
Fire Response District:
SMITH GROVE
Elementary School Zone:
PINEBROOK
Middle School Zone:
NORTH DAVIE
Soil Types:
GnB2
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
3300.00
Freatures Value:
Total Market Value:
169040.00
�OOp�4
Davie County,
�7
1\ C
All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County s GIS webstie shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
Perrm.tee s
'f DAVIE COUNTY HEALTH DEPARTMENT
Name: int -:1 ' f (.f.� !�( (11 �l �1'nvironmental Health Section PROPERTY INFORMATION
I
P.O. Box 848
Directions to property: Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
Section:
' AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#_
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 003941 A Road Name4 y&
Lot:
Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
1 1 ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DAT ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS `� # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE PUMPTANK GAL. TRENCH WIDTH zROCK DEPTH/i LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
i
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SAY
uv" 6 , &Z
SYSTEM INSTALLED BY:
1 6� AUTHORIZATION NO.s�dl/[� OPERATION PERMIT BY: DATE: 9��6
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DES IBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION -;1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME:
DCHD 02/02 (Revised) ' _1A1 V Did C # 71-113
AUTHORIZATION NO: j A
.II I f J'
Road Name:,.;, / `, Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
•:'I IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATEtISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE1 tom_ # BEDROOMS `-y # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZES Et:_ TYPE WATER SUPPLY � UC+% i DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE L i SI OAL'. PUMP TANK' i %r �'/ GAL. TRENCH WIDTH r' J�ROCK DEPTH/ Z'f LINEAR FT A r' /
" OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT �j
f� _ SYSTEM INSTALLED BY: / o ll / %' k5-nn-
� Nr
P , I
L
n _
;- n 1�
AUTHORIZATION NO. OPERATION PERMIT BY: I, DATE: / V
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESC IBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 07102 (Revised) _ '71-115 N V 6jL_C 7q / / l �
.q
Perrrultee s
DAME COUNTY HEALTH DEPARTMENT
Name: `ti-' { ` ' (
/ ` i' i '-'; ;,; t
4 �9Environmental Health Section
PROPERTY INFORMATION
f
1
, . P.O. Box 848
Directions to property:
` ' -' (�
Mocksville, NC 27028
Subdivision Name:
/
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
i N F , (.
WASTEWATER
Tax Office PIN:# - -
SYSTEM CONSTRUCTION
..
AUTHORIZATION NO: j A
.II I f J'
Road Name:,.;, / `, Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
•:'I IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATEtISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE1 tom_ # BEDROOMS `-y # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZES Et:_ TYPE WATER SUPPLY � UC+% i DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE L i SI OAL'. PUMP TANK' i %r �'/ GAL. TRENCH WIDTH r' J�ROCK DEPTH/ Z'f LINEAR FT A r' /
" OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT �j
f� _ SYSTEM INSTALLED BY: / o ll / %' k5-nn-
� Nr
P , I
L
n _
;- n 1�
AUTHORIZATION NO. OPERATION PERMIT BY: I, DATE: / V
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESC IBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 07102 (Revised) _ '71-115 N V 6jL_C 7q / / l �
r�: v ty Health Department .n
►r,b nvir, , ental Health SectionL
.O. Box 848
21 Hospital Street�a�
ier # • 09-40-06
EN��CipA\�E �pUN� ocksville, NC 27028y
Phone: (336) - 753 - 6780 r. Lx: (336) - 753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement / Remodeling Reconnection
� /�j
Name:PSD�� t -m Phone Number 0 " 7dy �(Home)
Z 1
Mailing Address: � /LyJ / 697k-�b36,/(, n ell (Work)
Detailed Directions To Site:117 1 - /O &dlhi LGf 7Zti'ou �t7" house- QN U 4'
g Za
Property Address: .4m / C f3N '
Please Fill In The Following Infor/m/ation About The EXISTINGFacility:
Name System Installed Under: C- /11 �� &fYl !/T!i/1 f�� ����?lX/ 44e Of Facility: yyas
Date System Installed (Month/Date/Year): &,az Number Of Bedrooms:__�'_Number Of People:_
Is The Facility Currently Vacant? Yes 0 If Yes, For How Long?
Any Known Problems? Yes L./ If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: /2MCNumber Of Bedrooms: '� Number of People
Pool Size: Gar Size: ZZ/ 71 Other:
Requested By: ate Requested:
anatu )
pproved
Comments:
For Environmental Health Office Use Only
*The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:$
Paid By: Received By:_
Account #: ql`7 / 04?z q Invoice #:
c�
v ty Health Department
�nvlr ental Health Section
.O. Box 848'
21 Hospital Street j7 r
ler # : 09-40-06
ocksville, NC 27028 k
Phone: (336) - 753 - 6780 Fax: (336) - 753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
rl / /1
Name: c�a`f- rC/Y/ Phone Number " �() (Home)
Mailing Address: L6,7,1 1W1411id (Work)
Nd yawme Ne- 2700
Detailed Directions To Site: `!) b /0 Aryl-' Ala) f ioo5e, (0 OT
1� rzs "14 l d 19.
Property Address: .�f r3N
/�
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: 64hwc-nl ll eal Alwi4e Of Facility: 9duS�=
Date System Installed (Month/Date/Year):X 19'% Number Of Bedrooms:__�/Number Of People:
Is The Facility Currently Vacant? Yes (0 If Yes, For How Long?
Any Known Problems? Yes / io
If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: 4'4-12mr, --J Number Of Bedrooms: Number of People
Pool Size: Gar Size: `i7X 79 Other:
/Requested By: ate Requested:
St ]� S naw }
Approved) Disapproved
For Environmental Health Office Use Only
04t
Environmental Health Specialist L b 1 I" S�t} 0H ;(•Lyll Date: S/��'�6��
*The signing of this form by the Environmental Health Staff'is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check
Paid By:
Money Order # Amount:$
Received By:
Date: